Individual
PETER C WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 SUPERIOR AVE, STE. 200-G, NEWPORT BEACH, CA 92663-3663
(949) 791-6767
(949) 791-6768
Mailing address
510 SUPERIOR AVE, STE. 200-G, NEWPORT BEACH, CA 92663-3663
(949) 791-6767
(949) 791-6768
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G84367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G843670
—
CA
Enumeration date
04/10/2006
Last updated
02/09/2016
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